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As many as 30-50% of the patients referred to the tertiary care center with dysphagia symptoms have normal endoscopy, barium esophagram, and high-resolution manometry and are classified as functional dysphagia.The reason for their symptoms remains unknown and management is challenging. The goal of this symposium is to showcase updates in our understanding of the physiology of esophageal peristalsis and lower esophageal sphincter function in patients with functional dysphagia.